Stressors and Coping Strategies among Menopausal Women during COVID-19 Pandemic Lockdown

Fatma AboulKhair Farag; M. Danet Lapiz Bluhm; Najla Barnawi; Amel Dawod Kamel Gouda

doi:10.3889/oamjms.2022.9795

Authors

Fatma AboulKhair Farag Department of Maternal and Newborn Health Nursing, Faculty of Nursing, Fayoum University, Faiyum, Egypt https://orcid.org/0000-0002-2751-7830
M. Danet Lapiz Bluhm Department of Psychiatric Nursing, School of Nursing, The University of Texas Health Science Center, San Antonio, Texas, USA https://orcid.org/0000-0001-6242-7438
Najla Barnawi Department of Community Health Nursing and Health Education, College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia https://orcid.org/0000-0001-5259-139X
Amel Dawod Kamel Gouda Department of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2022.9795

Keywords:

Menopause, Stressors, Coping strategies, COVID-19 pandemic

Abstract

Menopause is one of the women’s lifespan conditions that increases the potentiality of developing multiple physical and psychological diseases. Thus, it exposes the women to many fears and pressures, mainly during the COVID-19 pandemic. This study aims to assess stressors and coping strategies among Egyptian menopausal women during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was used to identify the associated menopause complaints stressors and the types of coping strategies among 126 university working women ages 40 to 60. Three tools were used: the demographic-characteristic, menopause rating scale, and coping with menopause symptoms questionnaires. Results: The most prevalent complaints were psychological stressors with a mean of 88.8 (70.5%), where fear of infection and death by COVID-19 was the most common problem (87.3%). Further, the most coping technique used by participants was protective measures with a mean of 82.2 (65.2%). There is a highly significant difference (p=0.001) with all coping strategies based on the women’s menopausal status. Conclusion and recommendations: The COVID-19 pandemic with menopause represents a significant burden on women at a critical time of their lives. Based on the results, it is essential to address the effectiveness of highly competent nursing care and support that includes effective coping strategies. Establishing and adopting nursing care guidelines that deal with stress and caring during this pandemic is highly recommended.

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References

Nosek M, Kennedy HP, Beyene Y, Taylor D, Gilliss C, Lee K. The effects of perceived stress and attitudes toward menopause and aging on symptoms of menopause. J Midwifery Womens Health. 2010;55(4):328-34. https://doi.org/10.1016/j.jmwh.2009.09.005 PMid:20630359 DOI: https://doi.org/10.1016/j.jmwh.2009.09.005

Greenblum CM, Agarwal AK, Kiron N, Gupta R, Sengar A, Guérin E, et al. A study of assessment menopausal symptoms and coping strategies among middle age women of North Central India. Int J Community Med Public Health. 2019;9(1):199-201.

Agarwal AK, Kiron N, Gupta R, Sengar A, Gupta P. A study of assessment menopausal symptoms and coping strategies among middle age women of North Central India. Int J Community Med Public Health. 2018;5(10):4470-7. https://doi.org/10.18203/2394-6040.ijcmph20183995 DOI: https://doi.org/10.18203/2394-6040.ijcmph20183995

Ali AM, Ahmed AH, Smail L. Psychological climacteric symptoms and attitudes toward menopause among Emirati women. Int J Environ Res Public Health. 2020;17(14):5028. https://doi.org/10.3390/ijerph17145028 PMid:32668726 DOI: https://doi.org/10.3390/ijerph17145028

Ya’acob N, Abdullah M, Ismail M, Medina M, Talarico TL, Casas IA, et al. We are IntechOpen, The World’s Leading Publisher of Open Access books Built by Scientists, for Scientists TOP 1 %. Intech. 1989;32:137-44. Available from: https://www.intechopen.com/books/trends-in-telecommunications-technologies/gps-total-electron-content-tec-prediction-at-ionosphere-layer-over-the-equatorial-region%0AInTec

Mattioli AV, Sciomer S, Maffei S, Gallina S. Lifestyle and stress management in women during COVID-19 pandemic: Impact on cardiovascular risk burden. Am J Lifestyle Med. 2020;15(3):356-9. https://doi.org/10.1177/1559827620981014 PMid:34025328 DOI: https://doi.org/10.1177/1559827620981014

Wang XW, Hu H, Xu ZY, Zhang GK, Yu QH, Yang HL, et al. Association of menopausal status with COVID-19 outcomes: A propensity score matching analysis. Biol Sex Differ. 2021;12(1):16. https://doi.org/10.1186/s13293-021-00363-6 PMid:33514386 DOI: https://doi.org/10.1186/s13293-021-00363-6

Cheung EW, Zachariah P, Gorelik M, Boneparth A, Kernie SG, Orange JS, et al. Multisystem inflammatory syndrome related to COVID-19 in previously healthy children and adolescents in New York city. JAMA. 2020;324(3):294-6. https://doi.org/10.1001/jama.2020.10374 PMid:32511676 DOI: https://doi.org/10.1001/jama.2020.10374

Baquedano L, Espiau A, Fasero M, Ortega S, Ramirez I, Mendoza N, et al. Beliefs, knowledge and the impact of COVID19 on menopause therapies in Spanish women: COMEM-treatment study. BMC Womens Health. 2020;20(1):277. https://doi.org/10.1186/s12905-020-01151-x PMid:33371883 DOI: https://doi.org/10.1186/s12905-020-01151-x

Newson L, Lewis R, O’Hara M. Long Covid and menopause - the important role of hormones in Long Covid must be considered. Maturitas. 2021;152:74. https://doi.org/10.1016/j.maturitas.2021.08.026. PMCID: PMC8522980. DOI: https://doi.org/10.1016/j.maturitas.2021.08.026

Bazrafshan MR, Delam H. Using ineffective coping strategies for facing with COVID-19. Int J Epidemiol Res. 2020;7(2):52. https://doi.org/10.34172/IJER.2020.10 DOI: https://doi.org/10.34172/ijer.2020.10

Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S, et al. Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl Psychiatry. 2020;10(1):225. https://doi.org/10.1038/s41398-020-00913-3 PMid:32647160 DOI: https://doi.org/10.1038/s41398-020-00913-3

Rodrigues MH, Carneiro M. Peri and postmenopausal women in times of coronavirus pandemic. Women Health. 2020;60(10):1079-82. https://doi.org/10.1080/03630242.2020.1784370 PMid:32669049 DOI: https://doi.org/10.1080/03630242.2020.1784370

Ding T, Zhang J, Wang T, Cui P, Chen Z, Jiang J, et al. Potential influence of menstrual status and sex hormones on female severe acute respiratory syndrome coronavirus 2 infection: A cross-sectional multicenter study in Wuhan, China. Clin Infect Dis. 2021;72(9):e240-e248. https://doi.org/10.1093/cid/ciaa1022 PMid: 32697835 DOI: https://doi.org/10.1093/cid/ciaa1022

Yazdkhasti M, Simbar M, Abdi F. Empowerment and coping strategies in menopause women: A review. Iran Red Crescent Med J. 2015;17(3):e18944. https://doi.org/10.5812/ircmj.18944 PMid:26019897 DOI: https://doi.org/10.5812/ircmj.18944

Rogowska AM, Kuśnierz C, Bokszczanin A. Examining anxiety, life satisfaction, general health, stress and coping styles during COVID-19 pandemic in polish sample of university students. Psychol Res Behav Manag. 2020;13:797-811. https://doi.org/10.2147/PRBM.S266511 PMid:33061695 DOI: https://doi.org/10.2147/PRBM.S266511

Matsuzaki K, Uemura H, Yasui T. Associations of menopausal symptoms with job-related stress factors in nurses in Japan. Maturitas. 2014;79(1):77-85. https://doi.org/10.1016/j.maturitas.2014.06.007 PMid:25082207 DOI: https://doi.org/10.1016/j.maturitas.2014.06.007

Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the stages of reproductive aging workshop + 10: Addressing the unfinished agenda of staging reproductive aging. Menopause. 2012;19(4):387-95. https://doi.org/10.1097/gme.0b013e31824d8f40 PMid:22343510 DOI: https://doi.org/10.1097/gme.0b013e31824d8f40

Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA, et al. The Menopause rating scale (MRS) scale: A methodological review. Health Qual Life Outcomes. 2004;2:45. https://doi.org/10.1186/1477-7525-2-45 PMid:15345062 DOI: https://doi.org/10.1186/1477-7525-2-45

World Health Organization. Advice for the public. Geneva: World Health Organization; 2022. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public [Last accessed on 2022 Mar 19].

Shams-Eldin AA. Knowledge, attitude and severity of menopausal symptoms among women attending primary health care centers in Cairo, Egypt. J Community Med Health Care. 2018;3(1):1023.

El Hajj A, Wardy N, Haidar S, Bourgi D, El Haddad M, El Chammas D, et al. Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. PLoS One. 2020;15(3):e0230515. http://doi.org/10.1371/journal.pone.0230515 PMid:32208445 DOI: https://doi.org/10.1371/journal.pone.0230515

Mohammed SF, Mohammed NS. Effect of menopausal symptoms on psychological problems among middle-aged women. Egypt Nurs J. 2018;15:292-301. DOI: https://doi.org/10.4103/ENJ.ENJ_20_18

Gebretatyos H, Ghirmai L, Amanuel S, Gebreyohannes G, Tsighe Z, Tesfamariam EH. Effect of health education on knowledge and attitude of menopause among middle-age teachers. BMC Womens Health. 2020;20(1):232. https://doi.org/10.1186/s12905-020-01095-2 PMid:33046075 DOI: https://doi.org/10.1186/s12905-020-01095-2

Agarwal AK, Kiron N, Gupta R, Sengar A. A cross sectional study for assessment of menopausal symptoms and coping strategies among the women of 40-60 years age group attending outpatient clinic of gynaecology. Int J Med Public Heal. 2019 Mar 26;9(1):13- 9. https://doi.org/10.5530/ijmedph.2019.1.4 DOI: https://doi.org/10.5530/ijmedph.2019.1.4

Mishra N, Sharma R, Mishra P, Singh M, Seth S, Deori T, et al. Covid-19 and menstrual status: Is menopause an independent risk factor for SARS CoV-2? J Midlife Health. 2020;11(4):240-9. https://doi.org/10.4103/jmh.JMH_288_20 PMid:33767566 DOI: https://doi.org/10.4103/jmh.JMH_288_20

Ford M. A Descriptive Study of Menopausal Woman’s Life Experiences, Stressors and their Occupational Meanings. Richmond: Eastern Kentucky University; 2015. Available from: https://encompass.eku.edu/otdcapstones/7

Basile LM, Rodriguez J. Basile LS. Coronavirus and Menopause: How Does COVID-19 Impact Menopausal Women? 2020. Available from: https://www.endocrineweb.com/conditions/menopause/coronavirus-menopause

Iioka Y, Komatsu H. Effectiveness of a stress management program to enhance perimenopausal women’s ability to cope with stress. Jpn J Nurs Sci. 2015;12(1):1-17. https://doi.org/10.1111/jjns.12036 PMid:25130496 DOI: https://doi.org/10.1111/jjns.12036

Nateri NS, Beigi M, Kazemi A, Shirinkam F. Women coping strategies towards menopause and its relationship with sexual dysfunction. Iranian journal of nursing and midwifery research. 2017;22:343.

Süss H, Willi J, Grub J, Ehlert U. Psychosocial factors promoting resilience during the menopausal transition. Arch Womens Ment Health. 2021;24(2):231-41. https://doi.org/10.1007/s00737-020-01055-7 PMid:32719937 DOI: https://doi.org/10.1007/s00737-020-01055-7